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Does the drop in mothers blood pressure after spinal anaesthesia affect the baby.

TO STUDY THE EFFECT OF MATERNAL BLOOD PRESSURE CHANGES DURING SPINAL ANAESTHESIA IN PATIENTS UNDERGOING ELECTIVE CESAREAN SECTION, ON SHORT TERM NEONATAL OUTCOMES.

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2021/10/037475
Enrollment
200
Registered
2021-10-22
Start date
Unknown
Completion date
Unknown
Last updated
2026-03-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: 1- Obstetrics

Interventions

None listed

Sponsors

Christian medical college vellore
Lead Sponsor
CHRISTIAN MEDICAL COLLEGE AND HOSPITAL
Collaborator
DR ANITA SHIRLEY
Collaborator

Eligibility

Inclusion criteria

Inclusion criteria: All parturients at term gestational age with no antenatal risk factors undergoing elective caesarean section planned under Spinal anaesthesia and their neonates .

Exclusion criteria

Exclusion criteria: 1. Not willing to participate in the study. 2. Emergency LSCS 3. Antenatal risk factors â??PIH, preeclampsia, eclampsia, GDM ,APH . Multiple pregnancy. 4. Fetal risk factors like - Any history of IUGR, Congenital Anomalies, Short for gestational age for this baby.

Design outcomes

Primary

MeasureTime frame
The effect of maternal blood pressure change no hypotension less than 20 per cent from baseline ,mild 20 to 30 percent from baseline and moderate 30 to 40 percent fall from baseline , Severe more than 40 percent from baseline, during Spinal Anaesthesia on the neonate is assessed by the umbilical artery cord blood pH and base deficit , Apgar score of the neonate at 1min, 5 mins and 10mins & the need for nursery admission . The Fetal acidosis is considered as umbilical arterial cord blood pH of less than 7.2.The ABG has to be analysed within 30 minutes . With these datas we can conclude the primary objective of whether this affects the neonatal outcomes or not.Timepoint: Blood pressure is measured every 1 minute till the delivery of the baby and then every 3 mins . 2 The ABG is done within 30 minutes. 3 The Apgar is measured in 1 minute, 3 minutes and 5 minutes.—

Secondary

MeasureTime frame
1 Incidence of hypotension more than 20 percent drop in Systolic Blood Pressure from the baseline among parturients undergoing elective LSCS under spinal anaesthesia. 2 To correlate the severity of hypotension ,mild , moderate, severe, with the neonatal outcomes 3 To determine the effect of the duration of hypotension, number of vasopressor boluses administered , anaesthesia incision delivery time on neonatal outcomes. Timepoint: 1 year—

Countries

India

Contacts

Public ContactSHARMILA RAJKUMARI A

Christian medical college and hospital vellore

anjeyanth@gmail.com7358377164

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Apr 4, 2026